THERESA KELLER FNP-C
NPI 1447085733
Nurse Practitioner - Family in Ithaca, NY

Active since September 05, 2024PECOS EnrolledAccepts Medicare Assignment
1051 CRAFT RD, ITHACA, NY 14850(607) 257-1107 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2024, Sep 5, 2024 (2 updates tracked since 2024).

About Theresa Keller Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA KELLER FNP-C (NPI 1447085733) is an individual family provider in Ithaca, New York, licensed in New York (F355021) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1447085733
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA KELLERCredential: FNP-C
Location Address1051 CRAFT RDIthaca, NY 14850-1016
Mailing Address1051 Craft RdIthaca, NY 14850-1016 · (607) 257-1107 · Fax (607) 257-0369
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 5, 2024
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
NPI 1447085733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F355021
1051 CRAFT RD, Ithaca, NY 14850

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theresa Keller Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901330562
PECOS Enrollment IDI20241106000012
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1051 CRAFT RD
ITHACA, NY 14850
Nurse Practitioner
1051 CRAFT RD
ITHACA, NY 14850
Dermatology
1051 CRAFT RD
ITHACA, NY 14850
Dermatology
1051 CRAFT RD
ITHACA, NY 14850
Nurse Practitioner (Family)
1051 CRAFT RD
ITHACA, NY 14850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Keller's NPI number?

The NPI number for Theresa Keller is 1447085733. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Where is Theresa Keller located?

Theresa Keller practices at 1051 Craft Rd, Ithaca, NY 14850. The listed phone number is (607) 257-1107.

What is Theresa Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Keller enrolled in Medicare?

Yes. Theresa Keller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Theresa Keller affiliated with any hospitals?

According to CMS data, Theresa Keller is affiliated with Cayuga Medical Center At Ithaca.

When was this NPI record last updated?

The NPPES record for Theresa Keller was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.